Breast Reduction Scars

Breast Reduction Scars

Enlargement of the vertical and or areolar scar is present in 5 of patients. We believe this is due to technical reasons, either because of improper closure or because of inadequate compensation for the excess skin around the areola. The solution is simple revi Fig. 11.17. a-c Preoperative view of a young patient with hypertrophy and ptosis. d-f Postoperative view 17 months later. g Arms are elevated to allow visualization of the vertical scar, not extending beyond the submammary fold Fig....

Pedicle Choices in Breast Reduction

Breast Innervation

Hall-Findlay y failing to prepare, you are preparing to fail. Surgeons should choose the right technique for the right patient. We plastic surgeons may be artists, but even artists still need to plan and to trace lines to create beautiful works. Breast reduction surgery usually combines a skin and parenchymal resection with a pedicle to maintain blood supply to the nipple-areola complex. This pedicle should allow adequate movement of the nipple to its new, more...

Anatomy of the Breast A Clinical Application

Breast Anatomy

MoUSTAPHA HaMDI, ELISABETH WURINGER, InGRID SCHLENZ, RAFIC KUZBARI Ohe breast, by definition, is the soft protuberant body adhering to the thorax in females, in which the milk is secreted for the nourishment of infants or the seat of affection and emotions the repository of consciousness, designs and secrets The epidermis of the nipple and areola is highly pig-mented and somewhat wrinkled, and the skin of the nipple contains numerous sebaceous and apocrine sweat glands and relatively little...

To the Nipple Areola Complex NAC

Stop Hypertrophic Scars Around Areola

The most serious complication of breast reduction surgery is nipple-areola complex (NAC) or breast necrosis. Very large breasts and or significant breast ptosis are the main reasons for such a disastrous complication, particularly in inexperienced hands. However, partial or total necrosis of the NAC can still occur in patients with high risk factors such as smoking, diabetes, or chronic corticosteroid therapy. Free nipple techniques in breast reduction are a viable alternative option for...

Short Scar Periareolar Inferior Pedicle Reduction Spair Mammaplasty

Horseshoe Shaped Vagina

Reast reduction offers an opportunity rarely seen in plastic surgery, for not only is there too much volume, there is too much skin. With a sound operative strategy, excellent technique, and a discerning artistic eye, the sculpting of an artistic and stable breast shape can occur every time, and now we can do it with half the scar What an exciting time to be a plastic surgeon. pattern technique have been thrown into sharper focus. Specifically, the inframammary scar can be problematic in some...

Superior Pedicle Vertical Scar Mammaplasty Surgical Technique

Breast Reduction Scarring

Man honours himself by not displaying all the knowledge he has acquired. I first tried the vertical reduction technique to minimize scars but have stayed with it because I saw improved results that hold up over time. It is my preferred method for breast reduction and mastopexy. Vertical scar techniques have not gained popularity in the United States as rapidly as in Europe and South America. The reluctance to abandon the Wise pattern in favor of the vertical reduction has been related to...

Operative Design and Markings

Vertical Scar Technique Breast Reduction

There are numerous approaches to breast reduction surgery using a vertical skin resection pattern. Lassus 23-25 usually uses a superior pedicle and does not bevel his resection or undermine the skin. He resects the breast tissue directly down to the chest wall and does not resect the parenchyma along the Wise pattern. His inframammary fold stays in place. Marchac 26 uses a superior pedicle but adds a small horizontal scar or T to the bottom of the vertical incision. Lejour 27-30 uses a superior...

Mastectomy Through a Vertical Incision

Vertical Scar Breast Reduction

The standard modified radical mastectomy includes removal of the breast gland with the nipple-areola complex NAC as well as the skin overlying the tumor. However, more conservative techniques have been used if the tumor is not too close to the skin. Pe-riareolar incision is used widely nowadays to perform the mastectomy, which allows the removal of the gland with the NAC. Besides immediate reconstruction, excellent aesthetic results can be obtained. A vertical component can be added to the...